Healthcare Provider Details

I. General information

NPI: 1710370804
Provider Name (Legal Business Name): NANCY J. KUHN, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/12/2015
Last Update Date: 06/06/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

311 N 2ND ST STE 304
SAINT CHARLES IL
60174
US

IV. Provider business mailing address

311 N 2ND ST STE 304
SAINT CHARLES IL
60174-1853
US

V. Phone/Fax

Practice location:
  • Phone: 630-377-5105
  • Fax:
Mailing address:
  • Phone: 630-377-5105
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number166000443
License Number StateIL

VIII. Authorized Official

Name: NANCY KUHN
Title or Position: PRESIDENT
Credential:
Phone: 630-377-5105